Individual provider Active NPI

Gracie Mae Strait-Gilg, SLP

  • Speech-Language Pathologist
  • Columbus, OH
National Provider Identifier
1326398124
Registry record updated Feb 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP.12430 Issued in OH
Practice address
7690 New Market Center Way
Columbus, OH 43235-1976
Phone
(614) 602-6473
NPI assigned
Sep 19, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Speech-Language Pathologist 235Z00000X SP-1473 NV
Speech-Language Pathologist 235Z00000X SLP8288 AZ
Speech-Language Pathologist 235Z00000X SP.12430 OH Primary

Addresses

Primary practice location

7690 New Market Center Way
Columbus, OH 43235-1976

Mailing address

4710 Chanterwood Dr
Columbus, OH 43231-5946
Phone (702) 758-6986

Other practice location 1

10153 S Monsoon Ave
Yuma, AZ 85365-8109
Phone (702) 758-6986

Other identifiers 1

IdentifierTypeStateIssuer
0236658MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SP-1473NVMDSpeech-Language Pathologist
SP.12430OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Haugland Learning Center PastSince Dec 15, 2019 Accepting new patients
Haugland, Lamarche, and Ramage LLC PastSince Dec 15, 2019 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518566400000",
    "number": "1326398124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4710 CHANTERWOOD DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432315946",
            "telephone_number": "702-758-6986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7690 NEW MARKET CENTER WAY",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432351976",
            "telephone_number": "614-602-6473"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10153 S Monsoon Ave",
            "address_purpose": "LOCATION",
            "city": "Yuma",
            "state": "AZ",
            "postal_code": "853658109",
            "country_code": "US",
            "telephone_number": "702-758-6986",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STRAIT-GILG",
        "first_name": "GRACIE",
        "middle_name": "MAE",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-19",
        "last_updated": "2018-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NV",
            "license": "SP-1473",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP8288",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.12430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0236658",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.